| NPI | 1194290957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP70020642) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2025-12-18 |