| NPI | 1275806887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60742268) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3524) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2025-12-09 |