| NPI | 1417469610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-18602) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV CP5573-R) |
| 101Y00000X Counselor (Licence: AZ LPC-18602) | |
| 101YM0800X Counselor Mental Health (Licence: NV CP5573-R) | |
| 101YM0800X Counselor Mental Health (Licence: AZ LPC-18602) | |
| 101YM0800X Counselor Mental Health (Licence: OH C.1700534) | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2023-12-21 |