| NPI | 1518634963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61462835) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61193000) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-08-09 |