| NPI | 1194368506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61255915) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2022030373) |
| 101YM0800X Counselor, Mental Health (Licence: NV CP5404-R) | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2023-05-15 |