| NPI | 1457479644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6634) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA L00008871) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-03-15 |