| NPI | 1972881258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4099) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60210093) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2024-09-30 |