| NPI | 1760271043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH70023356) |
| 101YP2500X Counselor, Professional (Licence: MI 6401225403) | |
| Enumeration Date | 2025-05-03 |
| Last Update Date | 2026-03-05 |