| NPI | 1417137720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-596) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60894244) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2022-04-29 |