| NPI | 1487326955 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61676605) | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-10-01 | 
| Last Update Date | 2025-07-09 |