| NPI | 1780299933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61263290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60850485) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2022-07-27 |