| NPI | 1366990699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61086346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60807234) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2022-02-01 |