| NPI | 1801395074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC60986898) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60956828) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2021-08-31 |