| NPI | 1730666751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60997799) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60871751) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2020-06-30 |