| NPI | 1982358446 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61155168)  | 
| Enumeration Date | 2022-02-03 | 
| Last Update Date | 2022-09-15 |