| NPI | 1881733863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2296) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LPCC02829) |
| 101YM0800X Counselor, Mental Health (Licence: IA LMHC107633) | |
| 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000871) | |
| 101YM0800X Counselor, Mental Health (Licence: NE LIMHP3456) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-05-25 |