| NPI | 1598130734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA LMHC10001882) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 96421) |
| 101YP2500X Counselor, Professional (Licence: TX 96421) | |
| Enumeration Date | 2015-12-13 |
| Last Update Date | 2025-09-17 |