| NPI | 1790431096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-17894) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC200001490) |
| 101YM0800X Counselor, Mental Health (Licence: OR C7145) | |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00912400) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21627) | |
| 101YM0800X Counselor, Mental Health (Licence: ME CC6660) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 12837764-6004) | |
| 101YM0800X Counselor, Mental Health (Licence: MA 13387-MH-CC) | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2024-10-04 |