| NPI | 1558817338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60528363) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61016302) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-03-21 |