| NPI | 1841502960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60753092) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CO 0011502) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2023-10-16 |