| NPI | 1326565912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015223) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60770915) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2025-10-21 |