| NPI | 1396489118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61671300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-8602) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2025-07-09 |