| NPI | 1831954775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020790) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC-2486) |
| 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH31012) | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2026-01-26 |