| NPI | 1154937704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61091522) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA cg61091515) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2024-03-08 |