| NPI | 1962260125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 11649) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39005504A) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 101836) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 23443) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ 23990) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 22614) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2026-08-28 |