| NPI | 1851830871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60938810) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: WA MC60695352) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2026-04-28 |