| NPI | 1861289829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61690745) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 94545) |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-07-23 |