| NPI | 1437814043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-50721) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61377190) |
| 101YM0800X Counselor, Mental Health (Licence: OR C7072) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2024-02-07 |