| NPI | 1073647517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6442) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61462221) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-08-04 |