| NPI | 1417594151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20309) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH18242) |
| 101YP2500X Counselor, Professional (Licence: FL MH20309) | |
| 101YS0200X Counselor, School (Licence: FL IMH18242) | |
| 101YS0200X Counselor, School (Licence: FL MH20309) | |
| 101YP2500X Counselor, Professional (Licence: FL IMH18242) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL IMH18242) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2022-03-02 |