| NPI | 1437625621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61524874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH24183) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2024-03-08 |