| NPI | 1134566185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2023046584) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13614113-6004) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61506266) | |
| 101YP2500X Counselor, Professional (Licence: LA 7022) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2025-01-13 |