| NPI | 1871190603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH61360762) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0012579) | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2023-03-17 |