| NPI | 1336539923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13121) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC012213) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: WI 11304-125) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC0016759) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2024-11-20 |