| NPI | 1528716255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61645173) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC61210091) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2025-07-23 |