| NPI | 1942747860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-706) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 0803314) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2024-01-06 |