| NPI | 1902345135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61014356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60724651) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2023-08-15 |