| NPI | 1346068434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH26426) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH26426) |
| 101Y00000X Counselor (Licence: AZ LAC22454) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ LAC22454) | |
| 101YP2500X Counselor, Professional (Licence: FL IMH26426) | |
| 101YP2500X Counselor, Professional (Licence: AZ LAC22454) | |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-09-28 |