| NPI | 1699549360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61520850) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61505248) |
| 101YM0800X Counselor Mental Health (Licence: WA MC61520850) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2025-03-20 |