| NPI | 1932701901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61234726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60896349) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2023-06-16 |