| NPI | 1972968386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15272) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61048070) |
| 101YM0800X Counselor, Mental Health (Licence: KY 288407) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2024-09-04 |