| NPI | 1871189639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61293053) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61116072) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2022-06-09 |