| NPI | 1083473706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61632219) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93472) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-12-27 |