| NPI | 1346774544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC 60504309) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 10290) |
| 101YM0800X Counselor, Mental Health (Licence: WA 60756758) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2025-11-13 |