| NPI | 1053808444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60716089) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2023-07-27 |