| NPI | 1144833674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T2680) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MFT.LF.61633845) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2025-12-24 |