| NPI | 1033453683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2021007624) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: MA LMHC10001271) | |
| 101Y00000X Counselor (Licence: FL MH13273) | |
| 101Y00000X Counselor (Licence: KS LCPC2370) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2024-08-26 |