| NPI | 1801147756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60616183) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor (Licence: WA CG60316393) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2020-11-18 |