| NPI | 1295087989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3592) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2024010063) |
| 101YM0800X Counselor, Mental Health (Licence: WA 61503202) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2024-07-03 |