| NPI | 1164008835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61551927) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61319268) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-08-01 |