| NPI | 1811679996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0022979) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61464466) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-10-16 |