| NPI | 1487871497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 18293) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85053) |
| 101YP2500X Counselor, Professional (Licence: NC 11568) | |
| 101YP2500X Counselor, Professional (Licence: CO 4276) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-04-19 |