| NPI | 1750893723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61060416) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60731538) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2022-11-15 |