| NPI | 1619596822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61536675) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-12-11 |