| NPI | 1750835914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.61447399) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5229) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2024-01-12 |