| NPI | 1215253448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003203A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60615631) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2019-11-22 |