| NPI | 1477705523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6117) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC0015567) |
| 101YP2500X Counselor, Professional (Licence: OR C5459) | |
| 101YP2500X Counselor, Professional (Licence: UT 11265674-6004) | |
| 101YP2500X Counselor, Professional (Licence: ID LCPC-6117) | |
| 101Y00000X Counselor (Licence: ID LCPC-6117) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60246926) | |
| 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-38900) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2023-06-08 |