| NPI | 1740724939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70186) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MHC61531518) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2025-12-18 |