| NPI | 1740600691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LH60715746) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60320174) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2023-07-12 |