| NPI | 1649654443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60706799) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60220783) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-07-06 |