| NPI | 1225280316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009572) |
| 101YP2500X Counselor, Professional (Licence: OR C4244) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-04-29 |