| NPI | 1053718742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL TPMC5495) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701014533) |
| 101YP2500X Counselor, Professional (Licence: KS 02998) | |
| 101YP2500X Counselor, Professional (Licence: MO 2013008259) | |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2025-03-04 |