| NPI | 1447036165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20296) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61447596) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |