| NPI | 1649748955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61036510) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: MI 6362009449) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2022-10-27 |