| 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 |