| NPI | 1073948089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 94244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61028307) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2024-08-26 |