| NPI | 1407355902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC60820574) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60521009) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |