| NPI | 1629162755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LPC 00162) |
| 101YM0800X Counselor, Mental Health (Licence: NC 14768) | |
| 101YP2500X Counselor, Professional (Licence: FL MH 10728) | |
| 101YP2500X Counselor, Professional (Licence: OK 4789) | |
| 101YP2500X Counselor, Professional (Licence: TX 74487) | |
| 101YP2500X Counselor, Professional (Licence: NM 0184121) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-06-01 |