| NPI | 1710317185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LCMHC-17320) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO LPC-2021045859) |
| 101YP2500X Counselor, Professional (Licence: VA LPC-0701006840) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-14130) | |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2022-08-11 |