| NPI | 1669066478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701014781) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH61029565) |
| 101YP2500X Counselor Professional (Licence: TX 88749) | |
| 101YP2500X Counselor Professional (Licence: LA 10483) | |
| 101YP2500X Counselor Professional (Licence: AZ LPC-23448) | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2025-07-08 |