| NPI | 1124590112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003411) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 5071184) |
| 101YM0800X Counselor, Mental Health (Licence: UT 14220741-6004) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 11052) | |
| 101YM0800X Counselor, Mental Health (Licence: DE APP-000109444) | |
| 101YM0800X Counselor, Mental Health (Licence: FL TELE4) | |
| 101YM0800X Counselor, Mental Health (Licence: AK 239304) | |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0136862TELE) | |
| 101YM0800X Counselor, Mental Health (Licence: NH 3494) | |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2026-03-18 |