| NPI | 1568942407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16651) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13466) |
| 101YM0800X Counselor, Mental Health (Licence: TX 88155) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 15890) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC009873) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-03-20 |