| NPI | 1619458759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701015032) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000046) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-10-14 |