| NPI | 1811015613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC-2347) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 3317) |
| 101YP2500X Counselor, Professional (Licence: MT 1020) | |
| 101YP2500X Counselor, Professional (Licence: 3317) | |
| 101YP2500X Counselor, Professional (Licence: KS 2347) | |
| 101YP2500X Counselor, Professional (Licence: MT LCPC-55289) | |
| 101YP2500X Counselor, Professional (Licence: ID LCPC-8769) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-09-01 |