| NPI | 1487165767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61661236) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R4951) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2025-05-15 |