| NPI | 1679029607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60547943) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60547943) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2023-06-21 |