| NPI | 1932958055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC.70115193) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2026-06-08 |