| NPI | 1417288374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61480837) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2023-09-12 |