| NPI | 1164151429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61321917) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61375425) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2025-05-29 |