| NPI | 1972305464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61674971) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 95685) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-05-23 |