| NPI | 1184027997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60492539) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.008217) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |