| NPI | 1972962207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003364A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180015460) |
| 101YP2500X Counselor, Professional (Licence: GA LPC012169) | |
| 101YP2500X Counselor, Professional (Licence: OR C7966) | |
| 101YP2500X Counselor, Professional (Licence: MN 3282) | |
| 101YP2500X Counselor, Professional (Licence: TX 85927) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2025-03-06 |