| NPI | 1376720755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60621612) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC0888) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2023-04-29 |