| NPI | 1740819416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MHC.LH.61210388) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 82001) |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2024-03-14 |