| NPI | 1750024733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61297275) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 61297275) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2025-08-18 |