| NPI | 1033964044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0342) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MHPL.MX.70070863) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LAC-23283) | |
| 101YM0800X Counselor, Mental Health (Licence: ID 4771483) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 101808) | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2026-08-15 |