| NPI | 1124713672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61617730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC1429108) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-03-06 |