| NPI | 1689186553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60817942) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60725033) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2025-08-11 |