| NPI | 1124534474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61018196) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60789697) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2021-08-10 |