| NPI | 1942772447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5548) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60910513) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2023-12-31 |