| NPI | 1750686945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7736) |
| 101YM0800X Counselor, Mental Health (Licence: OR C3679) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60749883) | |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-03-17 |