| NPI | 1811407596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA P00153) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60771271) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2023-08-26 |