| NPI | 1285318444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2102158) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2014027059) |
| 101YP2500X Counselor Professional (Licence: GA LPC011407) | |
| 106H00000X Marriage & Family Therapist (Licence: AR M2204000) | |
| 106H00000X Marriage & Family Therapist (Licence: MO 2018027917) | |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-09 |