| NPI | 1336743152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY 966) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3364) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC3346) | |
| 101YP2500X Counselor, Professional (Licence: WY 966) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0019423) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-06-12 |