| NPI | 1548891906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61640536) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61640536) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2025-06-27 |