| NPI | 1205585593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61660782) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA MC61139123) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-06-29 |