| NPI | 1073158580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61394035) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61009902) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-02-07 |