| NPI | 1346719648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 8971947) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60813052) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61497402) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2025-05-30 |