| NPI | 1467782680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-20993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 115058) |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0134710TELE) | |
| 101YP2500X Counselor, Professional (Licence: FL TPMC1928) | |
| 101YP2500X Counselor, Professional (Licence: KS 03224) | |
| 101YP2500X Counselor, Professional (Licence: UT 13244075-6004) | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2025-05-17 |