| NPI | 1780208777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-19031) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC-03502) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2026-03-23 |