| NPI | 1962529834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0205721) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00005689) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-06-05 |