| NPI | 1164824264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60440991) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA cg60440991) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2022-01-03 |