| NPI | 1063764710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4341) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60312894) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2023-07-10 |