| NPI | 1598437147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7073) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00005661) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2022-10-18 |