| NPI | 1750530556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA 6028-LMHC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6028) |
| 101YP2500X Counselor, Professional (Licence: CA 16969-LPCC) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-10-21 |