| NPI | 1952648339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 5172203-6004) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60761968) | |
| Enumeration Date | 2013-01-06 |
| Last Update Date | 2024-07-31 |