| NPI | 1023752276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61512307) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61218091) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2024-06-20 |