| NPI | 1710222690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60291981) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60473601) |
| 101Y00000X Counselor (Licence: WA CG60291981) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2022-07-20 |