| NPI | 1194483750 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019752) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-23361) | 
| 101YP2500X Counselor, Professional (Licence: IL 178020072) | |
| 101YP2500X Counselor, Professional (Licence: MD LC15084) | |
| 101YP2500X Counselor, Professional (Licence: NV CP5669-R) | |
| Enumeration Date | 2021-12-01 | 
| Last Update Date | 2024-12-11 |