| NPI | 1215685607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61502925) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020071) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-01-23 |