| NPI | 1043220452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2023-0477) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60125447) |
| 101YP2500X Counselor, Professional (Licence: MT 1220) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-01-09 |