| NPI | 1720451404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007323) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010065) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61111242) | |
| 101YP2500X Counselor, Professional (Licence: WA LH61111242) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 180007323) | |
| 101Y00000X Counselor (Licence: GA LPC010065) | |
| 101Y00000X Counselor (Licence: IL 180007323) | |
| 101Y00000X Counselor (Licence: WA LH61111242) | |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC010065) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2024-06-04 |