| NPI | 1912211020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 5577) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 217799) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61512932) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C836681) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2024-08-02 |