| NPI | 1790207157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60818315) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60668982) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-02-25 |