| NPI | 1841520590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7710) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 0701008174) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC9388) | |
| 101YM0800X Counselor, Mental Health (Licence: NC S7710) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 7710) | |
| 101YP2500X Counselor, Professional (Licence: MD LC9388) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701008174) | |
| 101YP2500X Counselor, Professional (Licence: NC S7710) | |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2023-08-22 |