| NPI | 1790306975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81537) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61667588) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2025-03-26 |