| NPI | 1104472877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701008453) |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC200001295) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2102482) | |
| 101YM0800X Counselor, Mental Health (Licence: LPC013484) | |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2023-11-01 |