| NPI | 1053727180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LPC-22527) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC010196) |
| 101YM0800X Counselor Mental Health (Licence: NC A10795) | |
| 101YP2500X Counselor Professional (Licence: WA 61381542) | |
| 101YP2500X Counselor Professional (Licence: OR C5198) | |
| 101YP2500X Counselor Professional (Licence: AZ LPC-22527) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2025-07-18 |