| NPI | 1679924583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4447) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.011112) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60665316) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-04-06 |