| NPI | 1487460663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA mc61635747) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 93152) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-04-23 |