| NPI | 1174058838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018527) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60502036) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2025-12-02 |