| NPI | 1841887213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61347768) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH11179) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2025-12-18 |