| NPI | 1356637904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM LPCC0176101) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60160858) |
| 101YP2500X Counselor, Professional (Licence: CO LPC0012189) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2015-12-06 |