| NPI | 1851935696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-9389) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61154114) | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2023-06-30 |