NPI | 1366266926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-24093) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.70004547) |
Enumeration Date | 2024-11-11 |
Last Update Date | 2025-09-19 |