| NPI | 1326177486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC13018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00008769) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-07-27 |