| NPI | 1164958542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17409) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701013130) |
| 101YM0800X Counselor, Mental Health (Licence: VI 0649721B) | |
| 101YM0800X Counselor, Mental Health (Licence: ME CC7310) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401223613) | |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC9975) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 9325) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-07-02 |