| NPI | 1518603075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61477739) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH24785) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-11-14 |