| NPI | 1942708185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC16532) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP1047-R) |
| 101YP2500X Counselor, Professional (Licence: IL 178013561) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC012499) | |
| 101YS0200X Counselor, School (Licence: IL 2322337) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2024-09-23 |