| NPI | 1336573534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60883936) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 4895) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2023-02-16 |