| NPI | 1568879625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4845) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AK 884) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61402495) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2026-07-23 |