| NPI | 1861023798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011811) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC15988) |
| 101YP2500X Counselor, Professional (Licence: VA 0701013573) | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2025-10-13 |