| NPI | 1295846483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C1079) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00005103) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-12-29 |