| NPI | 1063885952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60946522) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CAAR.CG.60603009) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2025-01-06 |