| NPI | 1265193718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.61522274) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MHC.LH.61522274) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2026-06-16 |