| NPI | 1548735822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61231321) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60628551) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2022-04-14 |