| NPI | 1275208332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH6135594) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61100721) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-12-26 |