| NPI | 1336473248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3199) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P2201004) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60367996) | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2025-08-28 |