| NPI | 1891224580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 8671330) |
| 101YP2500X Counselor, Professional (Licence: TX 96917) | |
| 101YP2500X Counselor, Professional (Licence: MN LPC-MN-826) | |
| 101YP2500X Counselor, Professional (Licence: WI 12557-125) | |
| 101YP2500X Counselor, Professional (Licence: OH LPC-OH-827) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2026-07-24 |