| NPI | 1295486181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61400158) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C9321) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2025-05-15 |