| NPI | 1912420456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-7599) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-6545) |
| 101YM0800X Counselor, Mental Health (Licence: UT 13173266-6004) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-23483) | |
| 101YP2500X Counselor, Professional (Licence: NV CP5540-R) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2024-12-09 |