| NPI | 1639495989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3804) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH 60455799) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2024-09-30 |