| NPI | 1710400619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61226072) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61226072) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2024-08-01 |