| NPI | 1306410246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 217581) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2025031718) |
| 101YM0800X Counselor, Mental Health (Licence: ID 7081005) | |
| 101Y00000X Counselor (Licence: ID 7081005) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2606655) | |
| 101Y00000X Counselor (Licence: OK LPCCANIDIDATE13178) | |
| 101YP2500X Counselor, Professional (Licence: MO 2025031718) | |
| 101Y00000X Counselor (Licence: OH E.2606655) | |
| 103K00000X Behavior Analyst | |
| 101YM0800X Counselor, Mental Health (Licence: OK LPCCANIDIDATE13178) | |
| 103K00000X Behavior Analyst (Licence: AK 217581) | |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2026-03-06 |