| NPI | 1750252789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH24662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61521386) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |