| NPI | 1679923148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH61021869) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00305000) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-08-31 |