| NPI | 1881081230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 183911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 183911) |
| 101YP2500X Counselor, Professional (Licence: GA LPC010052) | |
| 101YP2500X Counselor, Professional (Licence: MO 2013036833) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-01-24 |