| NPI | 1487463238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA CG61650424) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |