| NPI | 1619609526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61532130) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH21841) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-03-28 |