| NPI | 1689107906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007167-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00973400) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC012895) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2026-06-01 |