| NPI | 1770622193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0011269) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00011207) |
| 101YM0800X Counselor, Mental Health (Licence: WA RC00054520) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-04-29 |