| NPI | 1962801811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60463863) |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2021-09-21 |