| NPI | 1710275490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60539434) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: WY LPC-1698) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2019-09-17 |