| NPI | 1124463252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12757) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH61575661) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2025-10-02 |