| NPI | 1659157824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61497214) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS LPC04471) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-01-18 |