| NPI | 1710700612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61622766) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WA 526033F) |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |