| NPI | 1205236841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC50714) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60851405) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2022-04-20 |