| NPI | 1386158111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L12964) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LCSW-1354) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2023-02-15 |