| NPI | 1952737900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-8405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60381319) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2024-04-24 |