| NPI | 1659890168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004439A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 46.003408) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.1901083) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 007973) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2025-06-02 |