| NPI | 1629437751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60747147) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC2084) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2026-05-05 |