| NPI | 1366266926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 18895) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61490186) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-12 |