| NPI | 1942790977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3236) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC5030) |
| 101YM0800X Counselor, Mental Health (Licence: SC TLC.1387.PC) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 2770) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2025-06-24 |