| NPI | 1629443296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60877626) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60488844) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2026-04-05 |