| NPI | 1861203168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R10576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61614549) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |