| NPI | 1548707961 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60707802) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 321463) | 
| 101YP2500X Counselor, Professional (Licence: WA LH60707802) | |
| Enumeration Date | 2017-01-23 | 
| Last Update Date | 2025-02-19 |