| NPI | 1366871931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60588790) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007133) |
| 101YP2500X Counselor, Professional (Licence: 289200) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2023-12-19 |