| NPI | 1063973428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61669272) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: WI 10167-125) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-09-29 |