| NPI | 1265216865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61661295) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: WA 3079) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-07-02 |