| 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 |