| NPI | 1245885250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61102916) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6107) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60943341) | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-08-15 |