| NPI | 1558965996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61156085) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61032145) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2022-11-01 |