| NPI | 1114506938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 14196333-6004) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61550983) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC-0017055) | |
| 101YP2500X Counselor, Professional (Licence: ID 2571036) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-07-21 |