| NPI | 1609134246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4066) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60610033) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-11-11 |