| NPI | 1760003958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R7572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61308406) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2023-12-26 |