NPI | 1982108171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60990398) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC015060) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-12-05 |