| NPI | 1952295859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 129218) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LF61263988) |
| 101YM0800X Counselor Mental Health (Licence: KS LCMFT03136) | |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |