| NPI | 1568635654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 7484) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00055771) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2021-07-29 |