| NPI | 1174977995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60858855) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60642342) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2021-07-02 |