| NPI | 1336543719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR C4427) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60490328) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2021-07-20 |