| NPI | 1528352507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8705-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG 60157237) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2025-07-22 |