| NPI | 1730517566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CP0304) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60480950) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2024-01-22 |