| NPI | 1821459314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60695956) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178007456) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2022-02-13 |