| NPI | 1932942216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61529908) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 84774) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-17 |