| NPI | 1154646412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA LH60142565) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LPC3697) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2020-08-20 |