| NPI | 1447123419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61660510) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R11372) |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |