| NPI | 1083226039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61621953) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 052101) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-04-30 |