| NPI | 1710609102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61477333) |
| Additional Taxonomies | 101Y00000X Counselor |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: WA 522320A) | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-11-01 |