| NPI | 1427456938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60735577) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2024-06-11 |