| NPI | 1932649316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CU61579170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60495931) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2025-01-07 |