| NPI | 1588154165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6793) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 5571184) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61127149) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-11-23 |