| NPI | 1346648193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 11317) |
| 101YM0800X Counselor, Mental Health (Licence: SC 6051) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 5754) | |
| 101YP2500X Counselor, Professional (Licence: CO 0015984) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701010289) | |
| 101YP2500X Counselor, Professional (Licence: GA 009331) | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2022-05-03 |