| NPI | 1932242047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60421983) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 62597) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-09-11 |