| NPI | 1083098461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 88575) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: AK 146714) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60898145) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2023-04-04 |