| NPI | 1538715198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61141293) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60972163) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-05-17 |