| NPI | 1316490253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61521501) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC61245823) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2024-03-12 |