| NPI | 1225757057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61503832) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC61322644) |
| 101YM0800X Counselor Mental Health (Licence: WA 61322644) | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-02-13 |