| NPI | 1497168801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CCMH0220091) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-837) |
| 101YP2500X Counselor Professional (Licence: OR C4092) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-02-02 |