| NPI | 1871985135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 3969) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16736) |
| 101YP2500X Counselor, Professional (Licence: MO 2021018286) | |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH12749) | |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2026-07-09 |