| NPI | 1639830409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CARR.CG.61228283) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CARR.CG.612282) |
| 101YM0800X Counselor, Mental Health (Licence: WA CARR.CG.61228283) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-07 |