| NPI | 1164840641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC03963) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0018147) |
| 101YP2500X Counselor, Professional (Licence: WA MHC.LH.61685085) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2026-08-11 |