| NPI | 1447940010 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SC61342778) | 
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: WA SC61342778) | 
| Enumeration Date | 2023-05-08 | 
| Last Update Date | 2023-05-08 |