| NPI | 1073980298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61538132) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178011177) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2025-04-17 |