| NPI | 1194289223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61254081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7294) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2023-06-27 |