| NPI | 1760252241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC70008047) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61511916) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-10-28 |