| NPI | 1972746519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC 4160) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60086695) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2018-04-20 |