| NPI | 1396221636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61485659) |
| 101YM0800X Counselor, Mental Health (Licence: IA 110339) | |
| 101YP2500X Counselor, Professional (Licence: CA 13647) | |
| 101YP2500X Counselor, Professional (Licence: WI 8026-125) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2024-02-14 |