| NPI | 1235194275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010415) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180006071) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-08-27 |