| NPI | 1578738308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61587780) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC-5367) |
| 101YM0800X Counselor, Mental Health (Licence: ID 5367) | |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5367) | |
| 101YP2500X Counselor, Professional (Licence: ID LCPC-5367) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-10-30 |