| NPI | 1396158903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 0680078567) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60532248) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2025-10-22 |