| NPI | 1851736318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60523785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60336441) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-09-11 |