| NPI | 1235616772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61407753) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60882170) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2023-06-07 |