| NPI | 1457824435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: HI MHC-1122) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 60911219) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2025-05-08 |