| NPI | 1780016261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018709) |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC-941) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61449890) | |
| 101YM0800X Counselor, Mental Health (Licence: ME CC6875) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 13024868-6004) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C7082) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2026-03-27 |