| NPI | 1437989563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC6164220) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH24746) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-02-16 |