| NPI | 1770046518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61411802) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 77772) |
| 101YP2500X Counselor, Professional (Licence: OK 11371) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-07-12 |