| NPI | 1255765343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60653898) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC008617) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2025-06-27 |