| NPI | 1780413922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61283883) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 2022-0173) |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2024-07-27 |