| NPI | 1548736184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61136575) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6463) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-04-18 |