| NPI | 1578223459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61448787) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61244734) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2023-10-17 |