| NPI | 1003260936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60611810) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 5012) |
| 101YM0800X Counselor, Mental Health (Licence: TX 75172) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC0012751) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |