| NPI | 1821671801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61333043) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: WA LH61656328) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2025-04-22 |