| NPI | 1275804379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC12349) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC007293) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701010555) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 8064) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2022-11-29 |