| NPI | 1528306149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7393) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14925) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60474417) | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2018-12-18 |