NPI | 1780455402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SA61369169) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SA61369169) |
Enumeration Date | 2024-01-11 |
Last Update Date | 2025-03-11 |