| NPI | 1407611171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61528805) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-06-03 |