| NPI | 1417264268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA RC00012185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11127012-3902) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2021-09-01 |