| NPI | 1205989449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: HI MHC-555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00020863) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2019-05-08 |