| NPI | 1760027445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61261913) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C8126) |
| 101YM0800X Counselor, Mental Health (Licence: NC 15260) | |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2024-04-20 |