| NPI | 1770826604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60320724) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60320724) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2022-12-04 |