| NPI | 1114563681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.61638392) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11332950-6009) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2026-07-30 |