| NPI | 1730583105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L6794) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60453530) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2020-12-08 |