| NPI | 1366564817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0141981) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA LH00007179) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-07-12 |