NPI | 1629373469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13327) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13189081-6004) |
101YM0800X Counselor, Mental Health (Licence: CO LPC.0019248) | |
101YM0800X Counselor, Mental Health (Licence: AZ LPC-22050) | |
Enumeration Date | 2011-01-25 |
Last Update Date | 2025-07-07 |