| NPI | 1194257113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61636302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH24691) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2026-03-13 |