| NPI | 1043976111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61324701) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016786) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2022-09-07 |