| NPI | 1922582279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17385) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC014286) |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001379) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401224727) | |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2025-03-12 |