| NPI | 1730792375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61479853) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: WA MC61226003) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-12-04 |