| NPI | 1548651045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60372359) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT SWP-LCPC-LIC-4479) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |