| NPI | 1568486009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME MF5107) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF60032208) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-05-16 |