| NPI | 1043714207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61555221) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 91425) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2024-08-09 |