| NPI | 1508273608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66593) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61557921) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-11-13 |