| NPI | 1023520202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61213441) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 73831) |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2025-05-06 |