| NPI | 1578795084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA MHC.LH.60980733) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2961) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2026-06-26 |