| NPI | 1790137511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC012989) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60860215) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2025-03-19 |