| NPI | 1710159652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9371) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61550614) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC22738) | |
| 101YP2500X Counselor, Professional (Licence: KY 291082) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC007739) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2025-08-18 |