| NPI | 1801149745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60113142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60454153) |
| 101YM0800X Counselor, Mental Health (Licence: NV CP2907R) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2022-02-15 |