| NPI | 1508334061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61045874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60764673) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2023-04-12 |