| NPI | 1023825973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61628833) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93270) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-30 |