| NPI | 1568853661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 202632) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 18638) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0019156) | |
| 101YM0800X Counselor, Mental Health (Licence: AK 202632) | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2024-05-09 |