| NPI | 1851901706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18628) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701015236) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61396470) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2025-08-13 |