| NPI | 1942747860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60791725) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-706) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2026-03-11 |