| NPI | 1700573078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 86579) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61359003) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |