| 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 |