| NPI | 1235570821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 012345) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 012345) |
| 101YP2500X Counselor, Professional (Licence: NC S8569) | |
| 101YP2500X Counselor, Professional (Licence: TX 74961) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 74961) | |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC2654) | |
| 101YM0800X Counselor, Mental Health (Licence: SC TLC263PC) | |
| 101YP2500X Counselor, Professional (Licence: FL TPMC2654) | |
| 101YP2500X Counselor, Professional (Licence: SC TLC263PC) | |
| 101YM0800X Counselor, Mental Health (Licence: NC S8569) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2025-02-20 |