| NPI | 1649546565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60300769) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E 0700028) |
| 101Y00000X Counselor (Licence: WA LH60300769) | |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2014-05-06 |