| NPI | 1841694171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60915373) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135932) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2024-06-26 |