| NPI | 1396281903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60799157) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401015103) |
| 101YP2500X Counselor Professional (Licence: WA MC60669894) | |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2024-04-30 |