| NPI | 1457927410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61257898) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61169681) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2022-04-21 |