| NPI | 1558841403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 189690) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61197979) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2022-12-08 |