| NPI | 1013001692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C1115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61123327) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-11-03 |