| NPI | 1265669469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT BBH-LCPC-LIC-22305) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA LH 00005908) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2016-12-29 |