| NPI | 1316460900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61268275) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61022330) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-03-27 |