| NPI | 1679715494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC 3777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61497058) |
| 101YP2500X Counselor, Professional (Licence: TX 63411) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2024-02-15 |