| NPI | 1740536457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61132618) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60502604) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2023-01-20 |