NPI | 1700334489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT BBH-LCPC-LIC-19130) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH61311643) |
101YP2500X Counselor Professional (Licence: MI 6401223000) | |
101YP2500X Counselor Professional (Licence: WY LPC-2136) | |
Enumeration Date | 2016-09-12 |
Last Update Date | 2023-03-06 |