| NPI | 1265881106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH22096) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60997032) |
| 101YM0800X Counselor, Mental Health (Licence: CO 13759) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2024-03-01 |