| NPI | 1720679517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC013221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 014983-01) |
| 101YM0800X Counselor, Mental Health (Licence: VT 068-0134293) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2025-04-10 |