| NPI | 1245987676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5276) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CI3025) |
| 101YM0800X Counselor, Mental Health (Licence: TX 90254) | |
| Enumeration Date | 2022-03-05 |
| Last Update Date | 2022-11-09 |