| NPI | 1679269112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61595322) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2025-08-24 |