| NPI | 1194056689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60305125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 60305125) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2021-12-21 |