| 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 |