| NPI | 1417412701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61342324) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R8532) |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC8045) | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2023-09-06 |