| NPI | 1710714324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61688977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH26503) |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2025-05-20 |