| NPI | 1518359330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-37568) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH604363322) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2023-12-01 |