| NPI | 1508369679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19982) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60746043) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-03-13 |