| NPI | 1780413922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.61359443) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 102852) |
| 101YP2500X Counselor, Professional (Licence: NM CTB-2025-0202) | |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2026-08-13 |