| NPI | 1679238570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 5071) |
| 101YM0800X Counselor, Mental Health (Licence: NV 5796) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 94662) | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2026-05-12 |