| NPI | 1871135590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-PCLC-LIC-55385) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG60774893) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2022-10-21 |