| NPI | 1417412701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C10011) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC8045) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61679138) | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2026-04-03 |