| NPI | 1235529801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60809395) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2015002772) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2018-04-10 |