| NPI | 1215475355 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5543) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5557-R) | 
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00796600) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC008462) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-22559) | |
| 101YP2500X Counselor, Professional (Licence: TX 78859) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-02-09 | 
| Last Update Date | 2023-11-21 |