| NPI | 1528699022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61488875) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: CO MSLPC.0000015) | |
| 101YP2500X Counselor, Professional (Licence: TX 94716) | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2024-04-29 |