| NPI | 1538424882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC03936) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 6050549) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2024-09-24 |