| NPI | 1568879625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61402495) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AK 884) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2025-04-24 |