| NPI | 1730629908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011799) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH60795987) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60727330) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2021-10-01 |