| NPI | 1598382889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61361392) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 18906) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0020639) | |
| 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-81060) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2025-09-25 |