| NPI | 1689462699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61634984) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WA 595172H) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |