| NPI | 1710520986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 16442) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61228774) |
| 101YM0800X Counselor, Mental Health (Licence: AK 251566) | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2026-07-08 |