| NPI | 1396229894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 135667) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61418069) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2026-04-09 |