| NPI | 1457580615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5215) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 20014) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC4870) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 4956) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2024-08-21 |