| NPI | 1780451179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22903) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701013155) |
| 101YP2500X Counselor, Professional (Licence: TX 93746) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0020481) | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-08-21 |