| NPI | 1467839480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61585624) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 11199-125) |
| 101YP2500X Counselor, Professional (Licence: TX 70501) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2024-09-03 |