| NPI | 1679997043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003811A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP5121-R) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: UT 10399556-6004) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2023-03-01 |