| NPI | 1073971594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60835729) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60567234) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2023-08-22 |