| NPI | 1598295933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0016661) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60756989) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61084778) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |