| NPI | 1952082398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61522028) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0021109) | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-02-29 |