| NPI | 1174924823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60459609) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60976499) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2020-02-03 |