| NPI | 1962265777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61523832) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 93595) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-05-19 |