| NPI | 1508588047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61561179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23759) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2024-06-22 |