| NPI | 1255861886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60757151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60581963) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-11-21 |