| NPI | 1396904181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85966) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60238025) |
| 101YM0800X Counselor, Mental Health (Licence: NC 15790) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2021-10-01 |