| NPI | 1720606999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C5432) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61574166) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2026-03-31 |