| NPI | 1033652490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60954879) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 3805) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2022-09-16 |