| NPI | 1114465028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60704369) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15968) |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2017-02-11 |