| NPI | 1013639046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 8911141) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 42658) |
| 101YM0800X Counselor, Mental Health (Licence: WA 61660674) | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2025-05-13 |