| NPI | 1013601178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61416318) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 72030) |
| 101YM0800X Counselor, Mental Health (Licence: MS 2818) | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |