| NPI | 1285093005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 76777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0020863) |
| 101YM0800X Counselor, Mental Health (Licence: WI 11241-125) | |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC200001946) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01018100) | |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2025-04-22 |