| NPI | 1215625660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61539606) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22052) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2024-07-09 |