| NPI | 1457609711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60305075) |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC5081) | |
| 101YM0800X Counselor, Mental Health (Licence: AK PCOP745) | |
| 101YM0800X Counselor, Mental Health (Licence: HI 400) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0016222) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2022-04-29 |