| NPI | 1235377995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60570098) |
| 101YM0800X Counselor, Mental Health (Licence: MA 6637) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2019-11-22 |