| NPI | 1578948980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID 6691) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60671311) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2024-06-15 |