| NPI | 1972941532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0200041) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60337632) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2018-10-24 |