| NPI | 1174174056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61602451) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 61091551) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-02-14 |