| NPI | 1144774548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60862713) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 10029-125) |
| 101YP2500X Counselor, Professional (Licence: WI 3120-226) | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2022-10-19 |