| NPI | 1164136610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.61452973) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID SE-203699) |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: WA MHC.LH.61452973) | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-07-22 |