| NPI | 1235586769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH61016901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60677347) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2021-08-10 |