| NPI | 1275865313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA lh60752261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.007221) |
| Enumeration Date | 2010-01-30 |
| Last Update Date | 2018-01-10 |