| NPI | 1245532001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-425) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60131761) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2026-02-10 |