| NPI | 1740075506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61668740) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC16211) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-24 |