| NPI | 1679965370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 123531) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1502031) |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC-610) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 11952273-6004) | |
| 101YP2500X Counselor, Professional (Licence: NV CP5097-R) | |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2024-09-03 |