| NPI | 1154752244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LPCC11768) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60611750) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2022-08-28 |