| NPI | 1093203366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6638) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61105449) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2021-07-15 |