| NPI | 1811625197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61344832) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG61344832) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |