NPI | 1598178048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13350) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 18565) |
101YM0800X Counselor, Mental Health (Licence: MA LMHC10002074) | |
101YP2500X Counselor, Professional (Licence: DE PC-0011252) | |
101YP2500X Counselor, Professional (Licence: SC 7339) | |
Enumeration Date | 2014-06-03 |
Last Update Date | 2025-03-07 |