| NPI | 1982170593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012498) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC015689) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2025-06-25 |