| NPI | 1629447867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61121873) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60550465) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2021-12-17 |