| NPI | 1255080164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C4793) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61457913) |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2025-11-19 |