| NPI | 1689231888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61149049) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60925487) |
| 101YP2500X Counselor, Professional (Licence: OR C6878) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2023-03-15 |