| NPI | 1134312697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3246) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60401264) |
| 101YM0800X Counselor, Mental Health (Licence: NY 004125) | |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2019-10-07 |