| NPI | 1790471431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21362) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61443146) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-07-07 |