| NPI | 1356021596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61662703) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 61464153) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2025-07-29 |