| NPI | 1730656240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61051660) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 17457) |
| 101YM0800X Counselor, Mental Health (Licence: TX 76168) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-12-04 |