| NPI | 1831615137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 88262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61493093) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2025-12-10 |