| NPI | 1255904439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61511053) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61195292) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2024-04-01 |