| NPI | 1063204246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA mc70009409) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 27650) |
| 101Y00000X Counselor | |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-06-18 |