| NPI | 1023416724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60524808) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2023-03-15 |