| NPI | 1548779200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61082238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60799072) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-11-23 |