| NPI | 1689410284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61604731) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG61573622) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2025-05-30 |