| NPI | 1366146946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MHCA.MC.61411055) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 61636452) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2025-08-27 |