| NPI | 1184969685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2088) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 126909) |
| 101YM0800X Counselor, Mental Health (Licence: CA 14568) | |
| 101Y00000X Counselor (Licence: ID 9961667) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 5117) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 10315) | |
| 101Y00000X Counselor (Licence: NE 2440) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2025-10-24 |