| NPI | 1679296057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61317055) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC61473668) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2025-05-29 |