| NPI | 1962616078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3442) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61605125) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2025-11-05 |