| NPI | 1538835723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60149994) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC0152) |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC89) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |