| NPI | 1821785734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61377719) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CL61423174) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2026-08-12 |