| NPI | 1700382900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61151286) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8345) |
| 101YM0800X Counselor, Mental Health (Licence: NE LMHP-5461) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-05-01 |