| NPI | 1982266797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8853) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7385) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2025-06-09 |