NPI | 1255765343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60653898) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC008617) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2025-06-27 |