| NPI | 1366793523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60729183) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC60472017) |
| 101Y00000X Counselor (Licence: WA CG60309141) | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2026-03-05 |