| NPI | 1992370951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH61472809) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61146826) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61472809) | |
| Enumeration Date | 2021-05-22 |
| Last Update Date | 2025-06-23 |