| NPI | 1740875178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61486179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7536) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2026-04-16 |