| NPI | 1891208054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61031769) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60809042) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2021-12-17 |