| NPI | 1043577398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61503913) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 2243) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2025-11-05 |