| NPI | 1720869670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61480252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20674) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-11-15 |