| NPI | 1093151235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012734) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60339367) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2022-03-15 |