| NPI | 1215554886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61340815) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60960785) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-01-20 |