| NPI | 1598773640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5829) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009304) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-03-15 |