| NPI | 1144556440 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014521) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C3537) | 
| 101Y00000X Counselor (Licence: IN 39002116A) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C3537) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014521) | |
| Enumeration Date | 2009-10-22 | 
| Last Update Date | 2024-04-01 |