| NPI | 1720640592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61276727) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-04-22 |