| NPI | 1518484708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61107488) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR C7080) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2024-02-01 |