| NPI | 1427721638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61204790) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61407378) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2023-03-22 |