| NPI | 1710015805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.00008126) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 52001) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2026-08-31 |