| NPI | 1871268656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC61388904) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2024-01-30 |