| NPI | 1629373469 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13327) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13189081-6004) | 
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019248) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC-22050) | |
| Enumeration Date | 2011-01-25 | 
| Last Update Date | 2025-07-07 |