| NPI | 1104459148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7491) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61042635) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2025-01-15 |