| NPI | 1659027696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61466963) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22217) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2023-09-28 |