| NPI | 1942211826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHC.LH.70049075) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00002118) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2026-04-17 |