| NPI | 1184089500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6135) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 90107) |
| 101YP2500X Counselor, Professional (Licence: NV CP5663-R) | |
| 101YM0800X Counselor, Mental Health (Licence: WA 61477604) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2024-06-06 |