| NPI | 1326436460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC011560) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60848153) |
| 101YM0800X Counselor Mental Health (Licence: TN 3366) | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2020-06-16 |