| NPI | 1730232992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0001676) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 203603) |
| 101YM0800X Counselor, Mental Health (Licence: WA LF00001247) | |
| 101YP2500X Counselor, Professional (Licence: CO 0001676) | |
| 103TC1900X Psychologist, Counseling (Licence: CO 0001676) | |
| 103TF0000X Psychologist, Family (Licence: CO 0001676) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 0001676) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-01-03 |