| NPI | 1285425520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW00008179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-40458) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-10-16 |