| NPI | 1770288243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015386) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 86894) |
| 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0186) | |
| 101YP2500X Counselor, Professional (Licence: SC 12077) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 86894) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-06-02 |