| NPI | 1457725657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 5346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60558584) |
| 171W00000X Contractor (Licence: WA 60558584) | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2022-02-10 |