| NPI | 1174755698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 16811) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60376436) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60376436) | |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2021-09-09 |