| NPI | 1104840438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID 9059) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 03955) |
| 101YM0800X Counselor Mental Health (Licence: UT 11743380-6004) | |
| 101YM0800X Counselor Mental Health (Licence: KS 2629) | |
| 101YM0800X Counselor Mental Health (Licence: NJ 37PC00927400) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-08-23 |