| NPI | 1558101345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61104244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61104244) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |