| NPI | 1336423508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60202674) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C2664) | |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2024-01-08 |