| NPI | 1215455332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60972281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60786159) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2021-12-02 |