| NPI | 1124803754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61500434) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18499) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2025-08-25 |