| NPI | 1366875601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8053) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 14862) |
| 101YM0800X Counselor, Mental Health | |
| 101Y00000X Counselor (Licence: TN 8008) | |
| 101Y00000X Counselor (Licence: FL TPMC4949) | |
| 101Y00000X Counselor (Licence: MS 2162) | |
| 101Y00000X Counselor (Licence: OR C8053) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2025-10-10 |