| NPI | 1760019731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61279101) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA M61010245) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-08-20 |