| NPI | 1992284913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 74221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60816143) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-09-26 |