| NPI | 1093203390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61247688) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60822257) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2025-11-05 |