NPI | 1376932533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60805758) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70766) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2023-05-04 |