| NPI | 1255865804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00818200) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH 15293) |
| 101YM0800X Counselor Mental Health (Licence: VA 0701010867) | |
| 101YM0800X Counselor Mental Health (Licence: CO LPC.0015659) | |
| 101YM0800X Counselor Mental Health (Licence: MD LC12663) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-06-01 |