| NPI | 1922575661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61002914) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701012818) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2025-02-19 |