| NPI | 1841040003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 89043) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61425682) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-04-26 |