| NPI | 1598307415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7936) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61444517) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-07-02 |