| NPI | 1457975781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LPCC3902) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018260) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3045) | |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8826) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61303171) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-05-29 |