| NPI | 1093442584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61558751) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 96012) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-09-24 |