| NPI | 1740621564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH10708) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: FL PMH2004) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL PMH2004) | |
| 101Y00000X Counselor (Licence: FL PMH2004) | |
| 101YM0800X Counselor, Mental Health (Licence: FL PMH2004) | |
| 101YP2500X Counselor, Professional (Licence: FL PMH2004) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2023-02-02 |