| NPI | 1326793746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH61269164) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012037) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2023-03-15 |