| NPI | 1043497068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60450840) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC0012730) |
| 101YP2500X Counselor, Professional (Licence: TX 92111) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2024-01-29 |