| NPI | 1851839625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007583) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135887) |
| 101YM0800X Counselor, Mental Health (Licence: NM CCMH0203811) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 82639) | |
| 101YM0800X Counselor, Mental Health (Licence: MO 2022041014) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2024-05-09 |