| NPI | 1760722706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0175441) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-19375) |
| 101YP2500X Counselor, Professional (Licence: NV CP5048-R) | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2024-12-31 |