| NPI | 1437756723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61641832) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 95911) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2025-01-31 |