| NPI | 1669390100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2019029638) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS LCPC04286) |
| Enumeration Date | 2026-07-09 |
| Last Update Date | 2026-07-09 |