| NPI | 1326785908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61477714) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 18246) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-01-04 |