| NPI | 1629449582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60633445) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60633445) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2023-08-24 |