| NPI | 1972243202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82557) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC015719) |
| 101YP2500X Counselor, Professional (Licence: AK 235624) | |
| 101YP2500X Counselor, Professional (Licence: MO 2023037004) | |
| 101YP2500X Counselor, Professional (Licence: LA 10592) | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2026-03-04 |