| NPI | 1003207705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60461035) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 11983) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC3197) | |
| 101YP2500X Counselor, Professional (Licence: WA LH60461035) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2024-02-12 |