| NPI | 1053177808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.018151) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 101500) |
| 101YP2500X Counselor, Professional (Licence: ID 8321003) | |
| 101YM0800X Counselor, Mental Health (Licence: WA 70080587) | |
| 101YP2500X Counselor, Professional (Licence: OR C11493) | |
| 101YP2500X Counselor, Professional (Licence: ND 1350-4-1-24-600) | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2026-06-18 |