| NPI | 1891451464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2024019190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61515116) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-10-28 |