| NPI | 1154896140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA CG60902732) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60902732) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2019-03-08 |