| NPI | 1639478019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61018878) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2026-04-14 |