| NPI | 1174869218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60776880) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5763) |
| 101YP2500X Counselor, Professional (Licence: GA LPC011670) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2022-05-06 |