| NPI | 1154055291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89222) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2025036978) |
| 101YP2500X Counselor, Professional (Licence: PA PC019998) | |
| 101YP2500X Counselor, Professional (Licence: OH E.2505766) | |
| 101YP2500X Counselor, Professional (Licence: MN 3180) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401225520) | |
| 101YP2500X Counselor, Professional (Licence: WI 11854-125) | |
| 101YP2500X Counselor, Professional (Licence: IA 133089) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2026-06-23 |