| NPI | 1538413323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60301227) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C7466) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2025-04-14 |