| NPI | 1326564899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61174002) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0016680) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2025-12-15 |