| NPI | 1649676065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61657856) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG 60489836) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2026-04-28 |