| NPI | 1386160679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC7431) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1631) |
| 101YM0800X Counselor, Mental Health (Licence: ND 1046-12-15-19) | |
| 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH20401) | |
| 101YM0800X Counselor, Mental Health (Licence: NE IMHP-2457) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-06-17 |