| NPI | 1649841552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224822) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71917) |
| 101YM0800X Counselor, Mental Health (Licence: SC 10492) | |
| 101YM0800X Counselor, Mental Health (Licence: SD 21068) | |
| 101YM0800X Counselor, Mental Health (Licence: CO 21719) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2025-03-19 |