| NPI | 1740842830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14603) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14603) |
| 101YM0800X Counselor, Mental Health (Licence: AL 4344) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61227159) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-12-27 |