| NPI | 1457841876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60872259) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60872259) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2025-06-02 |