| NPI | 1427463553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01415) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60590230) |
| 101YP2500X Counselor, Professional (Licence: ID LPC-4850) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2018-05-26 |