| NPI | 1063960144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60735586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60605613) |
| 101YM0800X Counselor, Mental Health (Licence: TX 86252) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-09-22 |