| NPI | 1932876430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 70091877) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61510531) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2026-03-26 |