| NPI | 1942680889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-50120) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 965-8-1-18-381) |
| 101YP2500X Counselor, Professional (Licence: WY LPC-2103) | |
| 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-50120) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2026-03-24 |