| NPI | 1487315040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61549209) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61365831) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2024-06-19 |