| NPI | 1568004760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61456144) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2024-04-02 |