| NPI | 1386224392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61251783) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC013168) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-01-13 |