| NPI | 1164753752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60703859) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: HI 256964) |
| 101YM0800X Counselor Mental Health (Licence: HI MHC 207) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2023-12-18 |