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 |