| NPI | 1881000446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60818070) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LPC20922) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2023-06-09 |