| NPI | 1861258048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61541170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 93509) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-04-08 |