| NPI | 1033513825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6232) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61021036) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2025-04-16 |