| NPI | 1356344519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011389) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001555A) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-08-13 |