| NPI | 1376111062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-R-2549) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MG61213616) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-01-12 |