| NPI | 1679839757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 6015) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 6015) |
| 101YM0800X Counselor, Mental Health (Licence: UT 10416579-6004) | |
| 101YM0800X Counselor, Mental Health (Licence: FL 14000) | |
| 101YM0800X Counselor, Mental Health (Licence: ID 6588) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401223910) | |
| 101YP2500X Counselor, Professional (Licence: CO 6015) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2024-02-14 |