| NPI | 1760933600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61396666) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60686934) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2023-01-27 |