| NPI | 1134735764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL TPMC3061) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SD LPC20570) |
| 101YM0800X Counselor Mental Health (Licence: SD LPC-MH30636) | |
| 101YM0800X Counselor Mental Health (Licence: MN 2537) | |
| 101YM0800X Counselor Mental Health (Licence: IA 114460) | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2024-01-24 |