| NPI | 1356500359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 10746-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 2208) |
| 101YM0800X Counselor Mental Health (Licence: NC 4394) | |
| 101YP2500X Counselor Professional (Licence: TN LPC2208) | |
| 101YS0200X Counselor School | |
| 101Y00000X Counselor (Licence: TN LPC2008) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2024-10-09 |