| NPI | 1124649835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61649899) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C9737) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2026-08-11 |