| NPI | 1073817029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP0119) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60502257) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2023-01-17 |