| NPI | 1649707118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61406641) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 23899) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-09-21 |