| NPI | 1083210561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60389163) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6571) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |