| NPI | 1417619040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.70107684) | |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2026-08-11 |