| NPI | 1790258085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61132321) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: WA MC61035568) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2021-06-08 |