| NPI | 1518734318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61485969) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC61485969) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-01-23 |