| NPI | 1558043505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61515113) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 92250) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-03-14 |