| NPI | 1992354963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61339219) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C6883) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2023-07-27 |