| NPI | 1528494234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC 60330174) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60732583) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2025-06-12 |