| NPI | 1871954941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60910995) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60631603) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2022-08-15 |