| NPI | 1831567064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61151036) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA SC60890806) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2021-06-04 |