| NPI | 1225812506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60693142) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |