| NPI | 1598836090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 6334403-6004) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA RC00055630) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-03-28 |