| NPI | 1083171979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61071775) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 529) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2024-04-07 |