| NPI | 1174949598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60485464) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0104228) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2016-10-02 |