| NPI | 1568230084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10005436) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-24383) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH21290) | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2026-02-20 |