| NPI | 1700351616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61111747) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60877601) |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2020-11-19 |