| NPI | 1992484042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61634414) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YM0800X Counselor Mental Health (Licence: CO LPC0022258) | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-05-28 |