| NPI | 1578226031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61403172) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2025-01-22 |