| NPI | 1972264505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61476348) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61253722) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-11-15 |