| NPI | 1538553011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16109) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011598) |
| 101YM0800X Counselor, Mental Health (Licence: ME CC7410) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC0015911) | |
| 101YM0800X Counselor, Mental Health (Licence: NH 3417) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2024-12-16 |