| NPI | 1134505845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60700494) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.005011) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2017-02-22 |