| NPI | 1053992123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC013147) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 1099274) |
| 101YM0800X Counselor Mental Health (Licence: WA LH61227686) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-02-05 |