| NPI | 1770108961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61517278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61207575) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2025-03-21 |