NPI | 1073126397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-9126) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23362) |
101YM0800X Counselor, Mental Health (Licence: ID LCPC-9126) | |
101YP2500X Counselor, Professional (Licence: AZ LPC-23362) | |
Enumeration Date | 2020-08-26 |
Last Update Date | 2025-06-25 |