| NPI | 1184957425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6152) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00007555) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2021-10-13 |