| NPI | 1801350335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 015708) |
| 101YP2500X Counselor, Professional (Licence: TX 88668) | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2025-05-16 |