| NPI | 1952839862 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60801971) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180010852) |
| 101YP2500X Counselor Professional (Licence: IL 180010852) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2018-10-30 |