NPI | 1457975781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LPCC3902) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8826) |
101YM0800X Counselor, Mental Health (Licence: WA LH61303171) | |
101YM0800X Counselor, Mental Health (Licence: NE 3045) | |
101YM0800X Counselor, Mental Health (Licence: CO LPC.0018260) | |
Enumeration Date | 2020-06-02 |
Last Update Date | 2025-04-01 |