| NPI | 1639640741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61191837) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60911181) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-05-19 |