| NPI | 1619779782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC70010327) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TS0200X Psychologist, School | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-05-28 |