| NPI | 1093273708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10244584-6009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61650025) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2025-06-29 |