| NPI | 1568244051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 3691) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5448-125) |
| 101Y00000X Counselor (Licence: OK 2493) | |
| 101Y00000X Counselor (Licence: MN 3691) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 5448-125) | |
| 101YM0800X Counselor, Mental Health (Licence: OK 2493) | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-27 |