| NPI | 1013374180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC13008) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701010659) |
| 101YM0800X Counselor Mental Health (Licence: FL MH19392) | |
| 101YM0800X Counselor Mental Health (Licence: GA LPC013970) | |
| 101YM0800X Counselor Mental Health (Licence: NC 18347) | |
| 101YP2500X Counselor Professional (Licence: OR C4070) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2023-07-26 |