| NPI | 1649753591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5515) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23689) |
| 101YM0800X Counselor, Mental Health (Licence: ID 3071362) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61619257) | |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC5257) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-05-16 |