| NPI | 1093280497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CU61534696) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60566864) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2025-08-27 |