| NPI | 1770853590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5385) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60250393) |
| 101YM0800X Counselor, Mental Health (Licence: NC 8661) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2021-11-30 |