| NPI | 1881153823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61662866) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019183) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-02-23 |