| NPI | 1861041204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-67160) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0207751) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-12-06 |