| NPI | 1003740440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CAAR.CG.70148055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.70140421) |
| Enumeration Date | 2026-06-10 |
| Last Update Date | 2026-06-16 |