| NPI | 1609919414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 00011350) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00046969) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-02-20 |