| NPI | 1851069314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20758) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002397) |
| 101YP2500X Counselor, Professional (Licence: NC 20758) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-12-16 |