| NPI | 1134407679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC-1608) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 2428) |
| 101YP2500X Counselor, Professional (Licence: TN LPC0000002548) | |
| 101YP2500X Counselor, Professional (Licence: AK 575) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC005909) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-07-21 |