| NPI | 1376801019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14052) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-238) |
| 101YP2500X Counselor, Professional (Licence: TX 84204) | |
| 101YP2500X Counselor, Professional (Licence: OK 5882) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61067754) | |
| 101YP2500X Counselor, Professional (Licence: KS 2764) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2025-11-03 |