| NPI | 1477976272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60612916) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60423871) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2020-09-10 |