| NPI | 1326498627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4919) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60892451) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2021-02-11 |