| NPI | 1922595982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61263679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60542535) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-05-04 |