| NPI | 1598279960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60677982) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 69462) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2024-02-01 |