| NPI | 1467782680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 20993) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 08224) |
| 101YM0800X Counselor, Mental Health (Licence: IA 115058) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 13244075-6004) | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2026-01-14 |