| NPI | 1588274377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61557101) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC09316) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-12-13 |