| NPI | 1851442388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60168293) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00048014) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-10-05 |