| NPI | 1215413976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61328702) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 75728) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2024-05-31 |