| NPI | 1194187443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60867423) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60582797) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-01-29 |