| NPI | 1801523493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61690186) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 89024) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2025-05-21 |