| NPI | 1164271433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61640952) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH27303) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2025-03-12 |