| NPI | 1265914469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SA60867951) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60517632) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |