| NPI | 1083460018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61636271) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61511963) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2025-08-05 |