| NPI | 1942779384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60948447) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701013687) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2024-11-19 |