| NPI | 1447892013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 100693) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61325149) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2023-07-06 |