| NPI | 1801924618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401009499) |
| 101YM0800X Counselor, Mental Health (Licence: TN 2478) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C8677) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401009499) | |
| 101YP2500X Counselor, Professional (Licence: TN 2478) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-09-18 |