| NPI | 1073892840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 7006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 8980) |
| 101YM0800X Counselor, Mental Health (Licence: AZ 22147) | |
| 101YM0800X Counselor, Mental Health (Licence: CO 21908) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701014791) | |
| 101YM0800X Counselor, Mental Health (Licence: FL 12548) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2025-05-08 |