| NPI | 1730790569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C10026) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020477) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61270772) | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2025-10-14 |