| NPI | 1093765943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6693) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5231) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC2417) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61331189) | |
| 101YP2500X Counselor, Professional (Licence: ID LCPC9188) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC007949) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-10-23 |