| NPI | 1962708610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60664607) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701010389) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017039) | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2023-11-25 |