| NPI | 1568015337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60962947) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: WA PC61086725) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-05-17 |