| NPI | 1972264505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61649167) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61253722) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC61476348) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-10-31 |