| NPI | 1063775971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC200001424) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0014757) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701013379) | |
| 101YM0800X Counselor, Mental Health (Licence: NM CTB-2023-1040) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2025-07-03 |