| NPI | 1609598515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61614833) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61189760) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2025-04-26 |