| NPI | 1982834917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 13106) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63682) |
| 101YP2500X Counselor, Professional (Licence: VA 0701005589) | |
| 101YP2500X Counselor, Professional (Licence: SC 5252) | |
| 101YP2500X Counselor, Professional (Licence: CO 0013814) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2021-06-22 |