| NPI | 1962153353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005474) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP0295) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |