| NPI | 1780043893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60940346) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60634215) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2022-10-03 |