| NPI | 1407313059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61125722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60928129) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2025-11-18 |