| NPI | 1467960823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61502897) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 66326) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2024-02-27 |