| NPI | 1609410489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2025-0791) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8955) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2025-10-27 |