| NPI | 1225401557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61465359) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0107156) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2025-07-16 |