| NPI | 1730790569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61270772) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61080042) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0020477) | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2025-09-24 |