| NPI | 1780397554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61229511) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC8372) |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2022-12-26 |