| NPI | 1811766454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61474559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R8708) |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2023-12-22 |