| NPI | 1609234830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61124966) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60580783) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2026-01-15 |